Heart Healthy Eating

   / Heart Healthy Eating #91  
Western, we had a class on labels. Apparently they can say anything on a label and only the ingredients on the back in small print have to be accurate. The lesson learned in class over and over again was never ever ever ever believe the labels only the listed ingredients.
...

We have two Asian grocery stores I go to from time to time. One is a large super market and the other is a little store, with narrow aisles, and itty bitty shopping carts fit for kids. This smaller store is owned by a Japanese lady.

I prefer the smaller store since most of her product is from Japan but if you read the labels, and I read the labels, quite a bit of the Japanese food is made in China. :eek:

The product in the larger store is mostly from China. It says so on the label.

If you eat Sushi at a less expensive restaurant, the Shrimp on Shrimp nigari is almost certainly cleaned, sliced, and frozen in a plant in China. All the restaurant has to do is thaw and put on a rice ball. :eek: The Sushi ready shrimp is sold in both stores on little trays.

The problem with going to an Asian grocery and not being able to read Japanese or Chinese is how to find the product you need. :D One certainly can see through a glass container, or see the pictures on the label but what really helps is the list of ingredients. :laughing: It has to be in English. :)

When I go to these Asian stores I am often the only non Asian in the place. Especially the smaller store I prefer. Sometimes you will see some white guy hanging out outside the store while his wife shops but I am usually the only white guy in the store. :D One day I was on the huge aisle for sauces in the larger store. I was looking for a certain sweet sour sauce and Soy sauce. I was reading the labels to find the good stuff. :laughing:

I guess I looked like I knew what I was doing because this other white dude walked up to me and asked if I knew what something was and where I could find it. :D This was my first time in the store but I had happened to have seen what he wanted and knew what was "good" vs "bad." A few minutes later ANOTHER guy walked up and asked a similar question. :laughing:

The smaller store is nicer and I think she has better quality products. She gives you a gift when you check out. I have never figured out how she decides what gift to give though. She has given me a variety of snack foods, candies, and BEER! :thumbsup::D

What was kinda funny was that I did not know of her store. There is a certain area of town in this city where there are quite a few small, family run restaurants and grocery stores, including hers. I bought a book on making Sushi and the book had a section on where to buy Sushi ingredients. This little place was listed. The store is in a rather small city so it was a surprise it was listed. I showed the book to the owner and she had never heard of the book and had no idea how or why her store was listed. :laughing:

The book was excellent because it told you what ingredients where good and bad. :)

Later,
Dan
 
   / Heart Healthy Eating
  • Thread Starter
#92  
Interesting story & store Dan. I would like a little surprise gift from the checker every time I checked out. When you say good ingredients does that mean good tasting, good quality, good value, or healthy?

Are bad ingredients toxic, bad tasting, or just full of trans fats?
 
   / Heart Healthy Eating #93  
This is a great forum! I joined because of my tractor and I'm building a barn (by myself) soon and there were lots of threads here about peoples´ experiences w/ barn building. I don't know much about welding or farming, or, well, lots of things, but this is a subject that I know something about so I can jump in!

This thread covers so many subtopics, it's hard to know where to start, but I haven't seen anyone here write from a doctor's perspective yet, so here goes. Before you read further there are 2 caveats: I am a physician, and I am a mostly lacto-ovo-vegetarian (not vegan). You can flame me all you want in replies, but this is what 10 years of post-bachelor's degree study and past 6 years working experience tells me.

(If you don't read my entire long post/rant here, look toward the bottom for the links to the CHIP program.)

First, there are errors in several posts that I would like to debunk: I would caution taking anything one single researcher or promoter says as truth. Science is based on many, many studies taken together to form a whole. You can prove almost anything with a single study. Look at the cigarette co's for years trying to prove the "healthiness" of smoking. Stay away from fad diets, or "eliminating this thing(specific fat, protein, additive) from my diet" or "t��his worked for me so it will work for you" stories. Anecdotes are not science! Yes, some alcoholics don't get cirrhosis and some smokers don't get emphysema or lung cancer, but look at the statistics.

"Origin of ancestors diet" -- Nope, nothing there that I know of (but haven't researched).

"Grain needs to ferment"/"we don't have a rumen so we can't digest plants" = Completely false. You eat bread don't you? The yeast ("fermenting") is just to make the bread rise. You could eat it without the yeast and get the same nutrition...in cracker format. Eating meat takes many times the arable land to feed 1 person as eating a vegetarian diet and your body will get all the nutrients it needs as a vegetarian. Many cultures that are primarily vegetarian over generations have been very healthy and long lived -- so much so that they are researched heavily (see Blue Zones below).

"Vegetarians are at risk for B12 deficiency" -- sort-of true. If you are complete vegan, then yes, but the amount you need in your diet is quite low. Vitamin B12 is made by certain bacteria and fungi. Animals get it from the soil, on the dirt they ingest with the plants. Then, if you eat meat, eggs, milk, you get enough. Because of how carefully everything is washed nowadays, vegans aren't eating much dirt and can get deficient. :) Lacto-ovo-vegetarians, who eat occasional eggs & milk, are fine.

"Worthington (or other) meat substitutes are meat based" -- hahaha. :) Again, not true. They are fine for supplemental protein and have lower fat and cholesterol than meat. Yes, I agree with the other poster that they taste good. Most Americans get way too much protein in their diets, and you just urinate it out. Everything in moderation my friends!

"Medicine is big business in this country, about 20% of the GDP. There are a lot of people out there who stand to lose a whole lot of money if people figure out how to stop being sick on their own." -- What a joke. Maybe drug co's. Sure I'd be out of a job if nobody got cancer, had accidents of all kinds, and had the 1000's of diseases known to man. Most of the diseases were around before modern medicine. Example: people died from "consumption" -- which could have been cancer, TB, etc. Now we can separate them into distinct diseases which we can treat. Healthy people just don't keel over from pneumonia, appendicitis, bowel obstructions, or infected gallbladders anymore. In fact, they are treated so well that people now die of heart disease, which only the royalty and nobles would have had centuries ago.

Sometimes medicine isn't looking at the overall picture, but almost every MD would agree with everything I'm posting here. People just don't want to hear the plain truth. They want the miracle pill, or the fix-it-fast cure. Decades of overeating, smoking, drinking, and sedentary lifestyle can't be fixed overnight or by drugs. The lipitors, beta-blockers, pain medicines, etc. etc. are just alleviating the symptoms of bigger underlying problems. Your family doc or internist should be talking to you about this. If not, find someone that does. Our/my true business is to make people healthy to the best of my ability, not pander to an insurance company, drug company, or government agency.

This thread started out with a discussion of eliminating fats and cholesterol from your diet. While a lower fat and lower cholesterol diet is desirable, you cannot eliminate them from your diet, and plant based fats are actually beneficial. Did you know that cell walls have a high proportion of cholesterol? Your body makes a bunch of it every day if you don't eat it. Someone mentioned taking certain plant based foods entirely out of their diet, like nuts and avocados, because they are high in fat. Bad idea. Most of them are great for your body. Of course, if all you eat is avocados all day you may have a problem....

Did any of you see the story in Nat. Geographic a few years back about several societies/cultures that had the highest concentrations of centenarians (people living more than 100 years)? I'm talking a healthy long life, not feeble and demented people in hospital beds. Statistically, these people have 6 contributing factors to healthy long life: 1. a diet that is heavy on grains, fish, fruits, and vegetables and light on meat, eggs, and dairy products, 2. Low-stress lifestyles, 3. family/caring community, 3. high levels of activity/exercise, 5. spirituality, and 6. no smoking. There are multiple studies of Japanese (esp. Okinawa studies), Adventists (esp. in Loma Linda, CA), and residents of Sardinia, Italy. (Do a search on Blue Zones in Google.)

What hasn't been mentioned here is not just the high meat concentration in our diets, but the high degree of pre-processing on store shelves. Almost everything on the supermarket shelves has additives & preservatives & substances to make it "more healthy" while who knows how much more carcinogenic in the process. Fruits and vegetables are being sprayed with "biofilms" to keep them fresh longer. Another example, EPA rules prevent dumping certain industrial waste toxins in landfills, but you can spread them on fields as "fertilizers." That's bad enough when you eat the produce, but by eating meat you are then eating the concentrated toxins. This stuff is just beginning to get researched.

Before any of you read too much between the lines, I do have an underlying reason for my own personal lifestyle. Forums don't like to hear it but I've noticed several members here have Bible texts in their signature lines, so here's my quick one-liner: as a Christian, I consider my body to be the temple of God. (How can a scientist be a Christian is a whole different thread with lots and lots of data.) Therefore, I want to feed it the best I can. Yes, Jesus ate fish and probably other meats, but that was what was available and the custom. I live in the Northwest and the salmon from the Rogue River and Pacific Ocean is good!

If you're looking at better eating and better lifestyle, please consider the "CHIP program" -- Complete Health Improvement Program. (formerly known as Coronary Health Improvement Project). It's a great course on healthy eating and lifestyle changes. The cost is minimal for what you get (covers materials) and the course is usually filled. It meets in either a hospital/clinic conference room, church fellowship hall, hotel conference room, etc. It gives you a chance to improve your lifestyle & eating habits with a local support group. There are pre-course and post-course blood labwork (i.e. HDL's/LDL's), BP's, weight.

Here's a link: Complete Health Improvement Program | CHIP Health

The county hospital I work here in Southern Oregon is sponsoring a CHIP course this month. Sometimes, I'm involved in giving supplemental presentations on atherosclerosis. Many of my family doc or internist friends are also involved in the local sub-presentations. We don't get paid for it.

CHIP is endorsed by the Physicians Committee for Responsible Medicine (PCRM), the Center for Science in the Public Interest (CSPI), and the International Nutrition Research Foundation. The Program results have been published in numerous scientific articles in peer-reviewed medical journals, including the American Journal of Cardiology, theJournal of the American Diatetic Association, and Preventive Medicine.

Overall take home message of heart healthy *living* (not just eating):
1. Mostly plant based, non-processed diet
2. More exercise
3. Less stress
4. Stop smoking!

Marcus Bryner, MD
 
   / Heart Healthy Eating
  • Thread Starter
#94  
This is a great forum! I joined because of my tractor and I'm building a barn (by myself) soon and there were lots of threads here about peoplesエ experiences w/ barn building. I don't know much about welding or farming, or, well, lots of things, but this is a subject that I know something about so I can jump in!"

Welcome, glad to finally have a Dr. on board. However, I will treat you like one of the guys, if you don't mind.

"First, there are errors in several posts that I would like to debunk: I would caution taking anything one single researcher or promoter says as truth. ....but look at the statistics."

Please elaborate on which post are in error.

"Worthington (or other) meat substitutes are meat based" -- hahaha. :) Again, not true."

I think this is from my post #81 where I said Worthington meat substitutes had cholesterol from eggs and milk. Sorry Dr. but I stand by that based on ingredients listed. I never said they contain meat.



"This thread started out with a discussion of eliminating fats and cholesterol from your diet. While a lower fat and lower cholesterol diet is desirable, you cannot eliminate them from your diet, and plant based fats are actually beneficial. Did you know that cell walls have a high proportion of cholesterol? Your body makes a bunch of it every day if you don't eat it. Someone mentioned taking certain plant based foods entirely out of their diet, like nuts and avocados, because they are high in fat. Bad idea. Most of them are great for your body. Of course, if all you eat is avocados all day you may have a problem...."

As I have also said in the past, all plants have fat. What percentage of fat should the diet be for those with heart disease. I have seen between 10-15% from different Doctors. It doesn't take a lot of nuts or avocados to go over that amount.

If you're looking at better eating and better lifestyle, please consider the "CHIP program" -- Complete Health Improvement Program. (formerly known as Coronary Health Improvement Project). It's a great course on healthy eating and lifestyle changes. The cost is minimal for what you get (covers materials) and the course is usually filled. It meets in either a hospital/clinic conference room, church fellowship hall, hotel conference room, etc. It gives you a chance to improve your lifestyle & eating habits with a local support group. There are pre-course and post-course blood labwork (i.e. HDL's/LDL's), BP's, weight.

Here's a link: Complete Health Improvement Program | CHIP Health

The county hospital I work here in Southern Oregon is sponsoring a CHIP course this month. Sometimes, I'm involved in giving supplemental presentations on atherosclerosis. Many of my family doc or internist friends are also involved in the local sub-presentations. We don't get paid for it.

CHIP is endorsed by the Physicians Committee for Responsible Medicine (PCRM), the Center for Science in the Public Interest (CSPI), and the International Nutrition Research Foundation. The Program results have been published in numerous scientific articles in peer-reviewed medical journals, including the American Journal of Cardiology, theJournal of the American Diatetic Association, and Preventive Medicine.

Overall take home message of heart healthy *living* (not just eating):
1. Mostly plant based, non-processed diet
2. More exercise
3. Less stress
4. Stop smoking!

Marcus Bryner, MD"


________________________________________
Dr. Bryner thank you so much for your post. My cardiac rehab has the CHIP program they just have not implemented it yet. When they do I'll be there, even though I think I'm doing everything possible already I'm always open to learning more. As a Doctor do you think heart disease can be reversed?
Don
 
   / Heart Healthy Eating #95  
I will treat you like one of the guys, if you don't mind.

Yes, please do. Most of the forums I'm on don't know I'm an MD, but I had to respond to this.

Worthington meat substitutes had cholesterol from eggs and milk.

We use them in our family and all the cans of Worthington products in our cupboards are vegan. The vegeburger can in my hands says 96% less fat than beef, and has 0.5g of polyunsaturated fat per serving. It's all grain based: wheat gluten, wheat flour, and soy flour, w/ onion powder, etc.

What percentage of fat should the diet be for those with heart disease.
I'm not the best authority for that question. I'm not a nutritionist or family MD or internist. I'm an interventional radiologist (image guided biopsies, drainages, angiograms, etc.) as well as general radiologist (interpreting all the imaging studies that can be done). The percentage of fat in your diet is not *that* crucial. The components of your diet will be broken down and metabolized into what you need anyway. Your body will create the fats and cholesterol it needs if you don't eat them. The proportion of HDL to LDL is important. You want a high HDL/LDL ratio. Nuts, avocados, and many seeds will raise that ratio (high monounsaturated fats) without raising total cholesterol.

As a Doctor do you think heart disease can be reversed?

Yes. Diet & exercise. Smoking plays a giant role as well.

Marcus
 
   / Heart Healthy Eating #96  
Interesting story & store Dan. I would like a little surprise gift from the checker every time I checked out. When you say good ingredients does that mean good tasting, good quality, good value, or healthy?

Are bad ingredients toxic, bad tasting, or just full of trans fats?

The book mentioned certain things that should be in a good quality product. Sometimes it would mention things that should NOT be in a good quality product. The focus was on the good quality/tasting. I don't remember thinking that any of the ingredients that should be avoided were unhealthy but just not the best quality.

We used to buy quite a few frozen dumplings from the little store. The product was Japanese but if you read the label it was made in China. This was before all of the mainstream food safety horror stories came out about Chinese food products. I was leery of the products but I bought them anyway and never had a problem. They certainly were good tasting.

After one of the Chinese food safety events, the little store had fliers on the freezer cases from the companies talking about their food safety requirements. :eek: I was nervous enough as it was before the problems where announced and I have not bought again. Given how nit picky the Japanese can be I think I was overly cautious. :)

I need to get back to the little store because we are out of some of what I buy there. The Japanese Soy sauce is really much better than the normal brands in the mainstream grocery store.

Plus it is a fun place to visit. :D

Especially if the kids buy a candy that looks good....

But turns out to be fish flavored. :laughing:

Later,
Dan
 
   / Heart Healthy Eating #97  
Speaking of ingredients...

I read/heard recently about high salt content in lunch meats. To cut calories, some nights I just have a sandwich for dinner. I am not that hungry anyway and sandwich is all I need/want.

I looked at the roast beef the wifey had bought and it had a huge amount of salt. This was a prepackaged container of roast beef. I did not check but I suspect the Turkey was just as bad.

The deli counter has low salt meats so I asked the wifey to get those products instead.

Thank goodness Spring is getting close. We are talking about starting some seeds soon. Can't wait to start eating out of the garden again. :D

Later,
Dan
 
   / Heart Healthy Eating #98  
...

I read/heard recently about high salt content in lunch meats. To cut calories, some nights I just have a sandwich for dinner. I am not that hungry anyway and sandwich is all I need/want.

I looked at the roast beef the wifey had bought and it had a huge amount of salt. This was a prepackaged container of roast beef. I did not check but I suspect the Turkey was just as bad.

Preservative? And catering to the modern American palate.

The massive amount of sugar in sweet tea here in the South seems to be the current race among restaurants. I don't know where it's gonna end, but you can just about taste pure sugar in it these days. I cut it by mixing 1/2 sweet & 1/2 un-sweet. Better would be un-sweet only, but I'm not there, yet.
 
   / Heart Healthy Eating
  • Thread Starter
#99  
Speaking of ingredients...


The deli counter has low salt meats so I asked the wifey to get those products instead.


Later,
Dan

OK now, I'm going to have to ask you to read the title of this thread again. What exactly is heart healthy about deli counter meats? I suspect the cholesterol, the fat, preservatives, and even the low salt is too high to fit into this category. How about trying a bowl of wheat checks with low fat soy milk in the evening or a bowl of Edamame Pasta Blend (pictured below) microwaved in the bag in 6 minutes. A nice variation is to add a can of tomatoes.

Ingredients: soybeans, pasta (semolina), broccoli florets, carrots, red pepper.
No fat. (except what comes naturally from the soy beans 1.5g) No salt. No cholesterol.

Remember to tell you wife no deli meat allowed.
The Doctor above who is in involved in the CHIP program (which is no meat and vegan, ((PCRM approved)) at his hospital and I can agree on this point along with every author on heart disease and every cardiologist I have spoken to.
 

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   / Heart Healthy Eating #100  
Preservative? And catering to the modern American palate.

The massive amount of sugar in sweet tea here in the South seems to be the current race among restaurants. I don't know where it's gonna end, but you can just about taste pure sugar in it these days. I cut it by mixing 1/2 sweet & 1/2 un-sweet. Better would be un-sweet only, but I'm not there, yet.

I do not think the salt is being used as a preservative in this case. I think they are brining the meat to add water weight to drive up costs and make the meat more tasty. Mostly more weight though, salt water is cheap and can make meat more expensive. :D

Yeah, when my mom used to make sweet tea she would put in massive amounts of sugar. I stopped drinking sweet tea after I stopped at a Hardees for dinner. I had been working all day on some land I owned and was on the way home. The tea was good but sweet. I got 15 minutes down the road with another 15 minutes to go when my stomach started to rumble. :eek: It was a very painful drive that seemed to last an eternity before I got home. :D

Tain't touch sweet tea since then. I do not know if the tea made me sick because of the sugar or if the big tea pot needed cleaning. I have heard that the big tea pots do not always get cleaned as they should. In any case, no more tea for me.

Beer, water or coffee. :thumbsup: Two of the three boil or almost boil the water. :laughing:

Later,
Dan
 

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